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Park, Cho, Kim, and Lee: Gastritis Cystica Polyposa Treated with Endoscopic Submucosal Dissection
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The Korean Journal of Gastroenterology

The Korean Journal of Gastroenterology 2012; 60(2): 128-131.

Published online: 22 August 2012

DOI: https://doi.org/10.4166/kjg.2012.60.2.128

Gastritis Cystica Polyposa Treated with Endoscopic Submucosal Dissection

Hye Jung Park, In Rae Cho, Yon Hee Kim1, Sang Kil Lee

Department of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.

1Department of Pathophysiology, Yonsei University College of Medicine, Seoul, Korea.

Correspondence to: Sang Kil Lee, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: +82-2-2228-1996, Fax: +82-2-393-6884, sklee@yuhs.ac

Copyright © 2012 The Korean Society of Gastroenterology

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figures and Tables

Fig. 1
Endoscopic findings of the lesion. (A) A 4 cm sized polypoid mass was noted in the greater curvature of the midbody. (B) Distict ulceration and hyperemia were noted on the surface of the lesion.
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Fig. 2
Endoscopic ultrasound findings. (A) Hypoechoic and polypoid lesion (2.4×1.6 cm) was origninated from the junction between submucosa and proper muscle. (B) The mass showed low and homogeneous internal echogeneicity.
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Fig. 3
Computed tomography findings. 2.3 cm sized low attenuating, well-difined mass lesion was seen in the lower body of stomach.
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Fig. 4
Endoscopic resection (ESD) of the lesion. (A) 2.5 cm sized polypoid lesion, which was covered with normal gastric mucosa was seen at the greater curvature of body. (B) ESD was done by IT-knife. (C, D) Resected mass was well capsulated and easily detached from the base.
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Fig. 5
Microscopic findings (H&E). (A, B) There was a dilated cyst lined by cell layer of the submucosa (×1.25). (C) A normal-appearing lamina propria surrounded the focal area of the cyst (×40). (D) The lining epithelium consisted of foveolar and mucin secreting cells (×100).
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Notes

Financial support: None.

Conflict of interest: None.

References

1. Littler ER, Gleibermann E. Gastritis cystica polyposa. (Gastric mucosal prolapse at gastroenterostomy site, with cystic and infiltrative epithelial hyperplasia). Cancer. 1972. 29:205–209.
2. Wu MT, Pan HB, Lai PH, Chang JM, Tsai SH, Wu CW. CT of gastritis cystica polyposa. Abdom Imaging. 1994. 19:8–10.
3. Oberman HA, Lodmell JG, Sower ND. Diffuse heterotopic cystic malformation of the stomach. N Engl J Med. 1963. 269:909–911.
4. Iwanaga T, Koyama H, Takahashi Y, Taniguchi H, Wada A. Diffuse submucosal cysts and carcinoma of the stomach. Cancer. 1975. 36:606–614.
5. Yamagiwa H, Matsuzaki O, Ishihara A, Yoshimura H. Heterotopic gastric glands in the submucosa of the stomach. Acta Pathol Jpn. 1979. 29:347–350.
6. Park JS, Myung SJ, Jung HY, et al. Endoscopic treatment of gastritis cystica polyposa found in an unoperated stomach. Gastrointest Endosc. 2001. 54:101–103.
7. Tuncer K, Alkanat M, Musoğlu A, Aydin A. Gastritis cystica polyposa found in an unoperated stomach: an unusual case treated by endoscopic polypectomy. Endoscopy. 2003. 35:882.
8. Park CH, Park JM, Jung CK, et al. Early gastric cancer associated with gastritis cystica polyposa in the unoperated stomach treated by endoscopic submucosal dissection. Gastrointest Endosc. 2009. 69:e47–e50.
9. Okada M, Iizuka Y, Oh K, Murayama H, Maekawa T. Gastritis cystica profunda presenting as giant gastric mucosal folds: the role of endoscopic ultrasonography and mucosectomy in the diagnostic work-up. Gastrointest Endosc. 1994. 40:640–644.
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ORCID iDs

Hye Jung Park
https://orcid.org/http://orcid.org/0000-0002-1862-1003

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